Organization Active NPI

Scappoose Rural Fire Protection District

Doing business as Scappoose Fire District

  • Ambulance
  • Scappoose, OR
National Provider Identifier
1386691236
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
0502-06 Issued in OR
Legal business name
SCAPPOOSE RURAL FIRE PROTECTION DISTRICT
Doing business as
Scappoose Fire District
Practice address
52751 Columbia River Hwy
Scappoose, OR 97056-3029
Phone
(503) 543-5026
Fax
(503) 543-2670
NPI assigned
May 27, 2006
Last updated
Jan 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Cheryl Engstrom
Title
Administrative Specialist
Phone
(503) 543-5026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 0502-06 OR Primary

Addresses

Primary practice location

52751 Columbia River Hwy
Scappoose, OR 97056-3029

Mailing address

PO Box 625
Scappoose, OR 97056-0625
Phone (503) 543-5026

Other identifiers 1

IdentifierTypeStateIssuer
175968MedicaidOR

Other names 1

  • SCAPPOOSE FIRE DISTRICT Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120320000916 OR Part B Supplier - Ambulance Service Supplier 3173783685 Practice locations: Scappoose, OR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D0922310Scappoose Rural Fire Protection Dist52751 Columbia River Hwy, Scappoose, OR 97056Certificate of waiverDec 31, 2027

National Provider Directory

National Provider Directory

Locations

52751 Columbia River Hwy
Scappoose, OR 97056
Phone (503) 543-5026

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1386691236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 625",
            "city": "SCAPPOOSE",
            "state": "OR",
            "postal_code": "970560625",
            "telephone_number": "503-543-5026",
            "fax_number": "503-543-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52751 COLUMBIA RIVER HWY",
            "city": "SCAPPOOSE",
            "state": "OR",
            "postal_code": "970563029",
            "telephone_number": "503-543-5026",
            "fax_number": "503-543-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCAPPOOSE RURAL FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "ENGSTROM",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "ADMINISTRATIVE SPECIALIST",
        "authorized_official_telephone_number": "503-543-5026",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OR",
            "license": "0502-06",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175968",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SCAPPOOSE FIRE DISTRICT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scappoose, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.